Nichole M Elmendorf in Sheboygan - Pediatrics

Nichole M Elmendorf - NPI 1255519443

Nichole M Elmendorf is a Pediatrics in Sheboygan, Wisconsin. Nichole M Elmendorf practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Nichole M Elmendorf is 1255519443. The last update date is 2022-10-10.

Nichole M Elmendorf's current location address is 1125 N 13th St, Sheboygan, Wisconsin. You can contact this provider via phone number 9208031617 and fax number 9208031622. The mailing address for Nichole M Elmendorf is 1125 N 13th St, Sheboygan, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Nichole M Elmendorf
Address 1125 N 13th St, Sheboygan, Wisconsin
Phone Number 9208031617
Fax Number 9208031622
Sole Proprietor N
Credentials OTR

NPI Number Detail

NPI Number 1255519443
Provider Enumeration Date 2008-02-10
Last Updated Date 2022-10-10

Provider Mailing Address Detail

Address 1125 N 13th St
City Sheboygan
State Wisconsin (WI)
Post Code 530813281
Phone Number 9208031617
Fax Number 9208031622

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 225Xp0200X
Licence No 2461
Definition:
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40806400 WI --
41813000 WI --

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FAQs about Nichole M Elmendorf

What is the unique identifier code issued to Nichole M Elmendorf by the Centers for Medicare & Medicaid Services?

The Nichole M Elmendorf has been assigned the NPI (National Provider Identifier) 1255519443. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Nichole M Elmendorf's facilities are geographically located?

The facilities of Nichole M Elmendorf are physically situated at the following location: 1125 N 13Th St, Sheboygan, WI, 530813281.

What is the Nichole M Elmendorf's area of specialization and corresponding taxonomy classification?

The Nichole M Elmendorf's specialty field is Pediatrics, and it falls under the taxonomy code 225Xp0200X, which categorizes healthcare providers based on their specialties.

When was the Nichole M Elmendorf's 1255519443 issued?

The Nichole M Elmendorf's 1255519443 was issued on 2008-02-10.

When was the information regarding Nichole M Elmendorf, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nichole M Elmendorf, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-10-10.

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